Bulbourethral suspension under urodynamic monitoring for the treatment of male acquired urinary incontinence

Objective To explore whether bulbourethral sling procedure under urodynamie monitoring is effective in the treatment of male acquired urinary incontinence of postprostatectomy and posterior urethroplasty. Methods Between October 2000 and September 2004, 25 men aged 18 to 81 years （mean age,65 years） with acquired urinary incontinence underwent bulbourethral sling procedure. The causes of urinary incontinence were as follows： post-radical prostatectomy in 4 patients, TURP for BPH in 6, post posterior urethroplasty for urethral stricture in 6, and pro-static enucleation for BPH in 9. Preoperatively, 8 patients had completely urinary incontinence and 17 had stress urinary incontinence, with 1 - 5 urinary pads （mean, 3 pads） needed per day. All the patients experienced exercise of pelvic floor muscles without results. The mean duration of urinary incontinence was 4 years （range, 1 - 12 years）.

Bulbourethral suspension under urodynamic monitoring for the treatment of male acquired urinary incontinence